MEDICARE: MS. SARAH MARIE ARSENEAU RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86050757	TX

General Provider Information

NPI Number	:	1487225132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH MARIE ARSENEAU RDN

Provider Business Mailing Address
First Line	:	3024 GLASGOW DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2266
Country	:	US
Telephone Number	:	817-564-8787
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 SHORELINE DR STE 290
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-0128
Country	:	US
Telephone Number	:	615-393-6746
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2021
Last Update Date	:	07/04/2021

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